Student Secure Insurance (2024)

A StudentSecure plan can reduce your personal expenses if you face an unexpected injury or
illness throughout the course of your international studies. All four plans include multilingual travel assistance services and access to our
Member Portal, where you can download your visa letter, renew your coverage as needed, and
manage your policy online.

Highlights:

  • Meets J-1 visa requirements
  • Medical benefits such as Hospital Room & Board, Intensive Care Unit, and Local Ambulance included
  • Coverage for leisure sports and activities included, as well as some outpatient prescription drug coverage and mental health coverage
  • Monthly payment option (or savings for paying the full premium in advance)

Plan Details

Elite

Select

Budget

Smart

Savings for Paying Full Premium in Advance

Meets J-1 Visa Requirements

Overall Maximum Benefit

$5,000,000

$600,000

$500,000

$200,000

Maximum Benefit Per
Injury or Illness

$500,000

$300,000

$250,000

$100,000

Deductible
(except emergency room)

$25 per injury or illness

$35 per injury or illness

$45 per injury or illness

$50 per injury or illness

Emergency Room Deductible
(claims incurred in the
U.S. only)

$100 for treatment received in an emergency room

$200 for treatment received in an emergency room

$350 for treatment received in an emergency room

Coinsurance - Claims Incurred Inside the U.S.

Within the PPO
We will pay 100% of eligible expenses, after the deductible, up to the overall maximum limit

Outside the PPO

Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount

Within the PPO
We will pay 80% of the next $5,000 of eligible expenses after deductible, then 100% to the overall maximum limit

Outside the PPO
Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount

Within the PPO
We will pay 80% of the next $25,000 of eligible expenses after deductible, then 100% to the overall maximum limit

Outside the PPO
Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount

Within the PPO
We will pay 80% of eligible expenses after the deductible up to the overall maximum limit

Outside the PPO

Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount

Coinsurance - Claims Incurred Outside of the U.S.

After the deductible, we will pay 100% of eligible expenses to the certificate period maximum

Medical Benefit

Elite Limit

Select Limit

Budget Limit

Smart Limit

*Pre-Existing Condition Coverage

6-month waiting period

12-month waiting period

No Coverage

**Acute Onset of Pre-Existing Condition

(see benefit description below)

$25,000 lifetime maximum for eligible expenses

Intensive Care Unit

Up to the overall maximum limit

Hospital Room & Board

Average semi-private room rate, including nursing services

Outpatient Treatment

Up to the overall maximum limit

Local Ambulance

(not subject to coinsurance)

Up to $750 per injury / illness only if hospitalized as inpatient

Up to $500 per injury / illness only if hospitalized as inpatient

Up to $300 per injury / illness only if hospitalized as inpatient

Outpatient Prescription Drugs

Generic Drugs: 100% coinsurance

Brand Name Drugs: 50% coinsurance

Specialty Drugs: No coverage (not subject to deductible)

50% of actual charges (not subject to deductible or coinsurance)

Vaccinations

Up to $150

Covered vaccinations and testing are: Measles/Mumps/Rubella (MMR), Tetanus/Diphtheria/Pertussis (TDAP), Chicken Pox, (Varicella), Hepatitis B, Meningitis (Meningococcal MCV4 and B), COVID-19 / SARS-CoV-2

(not subject to deductible or coinsurance)

No coverage

Maternity Care for Covered Pregnancy

Up to $25,000

Up to $10,000

Up to $5,000

No coverage

Nursery Care of Newborn

Up to $750 Up to $750

Up to $250

No coverage

Sports & Activities -
Leisure, Recreational, Entertainment, Or Fitness

Up to the overall maximum limit

Optional Intercollegiate, Interscholastic,
Intramural, or Club Sports Rider

Up to $5,000
maximum per injury
or illness; medical expenses only

Up to $5,000
maximum per injury
or illness; medical expenses only

Up to $3,000
maximum per injury
or illness; medical expenses only

No coverage

Mental Health Disorders

(treatment must not be provided at a student health center)

Outpatient: Maximum of 30 visits

Inpatient: Maximum of 30 days

Outpatient: $50 maximum per day, $500 maximum

Inpatient: Up to $5,000

Outpatient Physical
Therapy & Chiropractic
Care

(not subject to coinsurance)
(must be ordered in advance by a physician and not obtained at a student health center)

Up to $75 per visit per day

Up to $50 per visit per day

Up to $25 per visit per day

Dental Treatment Due to Accident

(not subject to coinsurance)

Up to $250 maximum per tooth; $500 maximum per certificate period

Emergency Dental - Acute Onset of Pain

(not subject to coinsurance)

Up to $100

Terrorism

Up to $50,000 lifetime maximum, eligible medical expenses only

No Coverage

Emergency
Travel Benefit

Elite Limit

Select Limit

Budget Limit

Smart Limit

Emergency Medical Evacuation

(not subject to deductible, coinsurance, or overall maximum limit)

Up to $500,000 lifetime maximum

Up to $300,000 lifetime maximum

Up to $250,000 lifetime maximum

Up to $50,000 lifetime maximum

Repatriation of Remains

(not subject to deductible, coinsurance, or overall maximum limit)

Up to $50,000 lifetime maximum

Up to $25,000 lifetime maximum

Accidental Death and Dismemberment (AD&D)

(not subject to deductible,
coinsurance, or
overall maximum limit)

Lifetime Maximum - $25,000

Death - $25,000

Loss of 2 Limbs - $25,000

Loss of 1 Limb - $12,500

Optional AD&D Rider: Additional $25,000 lifetime maximum

No coverage

Emergency Reunion

(not subject to deductible,
coinsurance, or
overall maximum limit)

Up to $5,000, subject to a maximum of 15 days

Up to $1,000, subject to a maximum of 15 days

Personal Liability


(not subject to deductible,
coinsurance, or
overall maximum limit)

Up to $250,000 lifetime maximum

Up to $250,000 third person injury
or property

Up to $2,500 related third
person property

No coverage

Optional Crisis Response Rider - Ransom, Personal Belongings, and Crisis Response Fees and Expenses

(not subject to deductible, coinsurance, or overall maximum limit)

Up to $100,000

No coverage

*A pre-existing condition is anyinjury, illness, sickness, disease, or other physical, medical, mental, or nervous disorder, condition, or ailment that, with reasonable medical certainty, existed at the time of applicationor at any time during the 12 months prior to the effective date of this insurance, whether or not previously manifested, symptomatic or known, diagnosed, treated, or disclosed to us prior to the effective date, and including any and all subsequent, chronic or recurring complications or consequences related thereto or resulting or arising therefrom.

    **An acute onset of a pre-existing condition is asudden and unexpected outbreak or recurrence that is of short duration, is rapidly progressive, and requires urgent care. A pre-existing condition that is a chronic or congenital, or that gradually becomes worse over time, is not acute onset of a pre-existing condition.

    The Acute Onset of Pre-existing Condition benefit will only apply if all of the following conditions are met:

    a)The Acute onset of a Pre-Existing Condition does not directly or indirectly relate to a chronic condition or congenital condition;

    b)Treatment must be obtained within twenty-four (24) hours of the sudden and unexpected outbreak or reoccurrence;

    c)You must be under eighty (80) years of age;

    d)You must not be traveling against or in disregard of the recommendations, established treatment programs, or medical advice of a physician or other healthcare provider;

    e)You must not be traveling with the intent or purpose to seek or obtain treatment for the pre-existing condition;

    f)You must be traveling outside your home country

    Student Secure Insurance (2024)
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